A company is looking for a Utilization Review Clinician - Behavioral Health.
Key Responsibilities
Evaluates treatment for mental health and substance abuse to ensure medical appropriateness
Performs prior authorization and concurrent reviews related to behavioral health services
Analyzes member data to enhance service quality and utilization
Required Qualifications, Training, and Education
Graduate of an Accredited School of Nursing or Bachelor's degree with 2-4 years of related experience
Master's degree for behavioral health clinicians required
License to practice independently as required by state regulations
Preferred clinical knowledge of mental health and substance abuse treatment plans
Experience working with healthcare providers in behavioral health preferred
Behavioral Health Clinician • Amarillo, Texas, United States